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Neonatal priapism associated with spontaneous bilateral pyocavernositis
Rajeev Sood1, Surender Nath Wadhwa, Vikas Jain
1Division of Urology, Department of Surgery, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Annals of the Academy of Medicine, Singapore
|July 26, 2006
Summary
This case report details a rare instance of neonatal priapism linked to spontaneous pyocavernositis. Successful treatment through aspiration and antibiotics led to a full recovery, demonstrating excellent functional and anatomical outcomes.
Area of Science:
- Pediatric Urology
- Neonatal Medicine
- Infectious Diseases
Background:
- Neonatal priapism has diverse causes, but association with spontaneous purulent cavernositis is undocumented in pediatric literature.
- This report presents the first case of this rare combination.
Observation:
- A 24-day-old neonate presented with persistent penile erection since day 4 of life and penile swelling.
- Cavernosal aspiration revealed frank pus in both corpora cavernosa.
Findings:
- The neonate was treated with closed aspiration drainage and cross-irrigation with antibiotics under systemic cover.
- Complete detumescence was achieved.
Implications:
- This case highlights a rare association of neonatal priapism with bilateral pyocavernositis.
- Successful management resulted in excellent functional and anatomical recovery, confirmed by Doppler studies.
- The report contributes to understanding the pathophysiology of this condition.
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